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Related terms: Total hip replacement, Hip arthroplasty

Higher-Volume Rehab Centers Better for Hip Fracture Recovery: Study

Posted 2 days 5 hours ago by

FRIDAY, Oct. 2, 2015 – Seniors who break a hip receive the best care in skilled nursing facilities with the most experience handling such fractures, a new study suggests. Twenty-five cases a year was the magic number, according to lead author Pedro Gozalo, associate professor of health services, policy and practice at the School of Public Health at Brown University in Providence, R.I., and colleagues. "Even adjusting for a long list of patient risk factors and for important facility characteristics, facilities that had cared for more than two dozen hip fracture patients in the last 12 months were more than twice as likely to successfully discharge patients in a timely manner compared to facilities that had three or less hip fracture admissions," Gozalo said in a university news release. The researchers analyzed the medical records of more than 512,000 patients with broken hips, aged 75 ... Read more

Related support groups: Hip Replacement, Orthopedic Surgery

Obesity Won't Affect Joint Surgery Safety, Study Finds

Posted 2 days 13 hours ago by

FRIDAY, Oct. 2, 2015 – Obese and overweight people who have joint replacement surgeries are less likely to need blood transfusions and are no more likely to face complications than normal weight patients, a new analysis finds. "It's a very complex issue," said study co-author Dr. Nolan Wessell, an orthopaedic surgery resident at Henry Ford Hospital in Detroit. "And this finding is somewhat surprising. "But it could just be that larger patients have a larger total blood value," he added. "And therefore lose a lower percentage of their blood than smaller patients during surgery. Essentially, it may be that they have a larger reserve in their tank, and can afford to lose a bit more blood without needing a transfusion. We don't know. But at least conceptually that makes sense." Still, senior study author Dr. Craig Silverton, vice chairman of orthopaedics at Henry Ford, cautioned that more ... Read more

Related support groups: Surgery, Obesity, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery

Hip-Fracture Surgery Risk Not Just Due to Age, Study Finds

Posted 19 days ago by

TUESDAY, Sept. 15, 2015 – People who need surgery for a broken hip face a higher risk of serious complications and death than those who undergo an elective hip replacement – and the disparity is not explained by fracture sufferers' older age or poorer health, a new study finds. Doctors have long known that hip-fracture surgery is a riskier procedure than elective hip replacements, which are done to treat severe arthritis. "Everyone has recognized that hip-fracture patients are having bad outcomes," said Dr. P.J. Devereaux, the senior researcher on the new study and a professor at McMaster University in Hamilton, Canada. "It's been assumed that it's because they're older and sicker." But his team's study, published in the Sept. 15 issue of the Journal of the American Medical Association, suggests that is not the whole story. "This raises the hope that we don't have to just accept those ... Read more

Related support groups: Surgery, Hip Replacement, Fracture, bone, Orthopedic Surgery, Surgical Prophylaxis

Knee, Hip Replacement Surgeries Linked to Heart Risks

Posted 31 Aug 2015 by

MONDAY, Aug. 31, 2015 – People who have total hip or knee replacement surgery face a greater risk for a heart attack during the first month following the procedure, a new study finds. The chances of a heart attack were more than eight times greater in the first 30 days after total knee replacement surgery compared to people who didn't have the procedure. The risk of a heart attack was four times greater during the month following total hip replacement surgery, the study revealed. But the researchers noted that the findings shouldn't deter people from having these surgeries. "Overall, neither knee or hip replacement increases the risk of heart attack over the entire follow-up period in our study, even though the risk was substantially increased shortly after surgery," he said. "This risk should not keep a patient from having either surgery." Indeed, the odds of a heart attack dissipated ... Read more

Related support groups: Heart Attack, Hip Replacement, Knee Joint Replacement, Myocardial Infarction

Tuning Into Your Favorite Music May Boost Post-Op Recovery

Posted 12 Aug 2015 by

WEDNESDAY, Aug. 12, 2015 – Mozart, Madonna or Eminem: Whatever your taste, music may help you recover from a surgery, according to a new review of data on the subject. "More than 51 million operations are performed every year in the U.S.," lead author Dr. Catherine Meads, of Brunel University in the United Kingdom, said in a news release from The Lancet, which published the findings Aug. 12. "Music is a non-invasive, safe, cheap intervention that should be available to everyone undergoing surgery," she said. "Patients should be allowed to choose the type of music they would like to hear to maximize the benefit to their well-being." The only caveat: "Care needs to be taken that music does not interfere with the medical team's communication," Meads said. In their research, her team reviewed data from 72 studies that included nearly 7,000 patients. The investigators found that listening ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery, Head & Neck Surgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

Using Same Hospital for Complications After Surgery Lowers Death Risk: Study

Posted 18 Jun 2015 by

THURSDAY, June 18, 2015 – Surgery patients who suffer complications after discharge from a hospital are more likely to die if they're readmitted to a different hospital than where they had their original operation, a new study finds. University of Utah researchers reviewed information on millions of Medicare patients who underwent one of 12 major surgical procedures between 2001 and 2011. They found that up to one-fifth of the patients were readmitted to a hospital within 30 days due to complications. Up to 83 percent of patients with complications were readmitted to the same hospital where they had their initial surgery. Overall, readmission to the same hospital was associated with a 26 percent lower risk of death within 90 days, the study revealed. For specific types of surgeries, the risk of death associated with readmission to the same hospital ranged from 44 percent lower for ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Gastric Bypass Surgery, Orthopedic Surgery, Head & Neck Surgery, Appendectomy, Neurosurgery, Spleen Removal, Gastrointestinal Surgery, Vascular Surgery, Ophthalmic Surgery, Cardiothoracic Surgery, Genitourinary Surgical and Other Conditions

Health Tip: Are You at Risk for Hip Strain?

Posted 23 Apr 2015 by

-- Injury to the muscles that surround the hip can range from mild to severe, and athletes are considered at higher risk. The American Academy of Orthopaedic Surgeons mentions these common risk factors for hip strain: Taking a direct hit to the joint, or taking a hard fall. Overusing the hip. Having a previous hip injury. Having tightness in muscles that surround the hip. Warming up insufficiently before a workout. Exercising too vigorously. Read more

Related support groups: Hip Replacement

Many May Be OK to Drive 2 Weeks After Getting New Hip: Study

Posted 25 Mar 2015 by

WEDNESDAY, March 25, 2015 – Many people who've had hip replacement surgery might safely be able to drive as soon as two weeks after the procedure, a new small study finds. This rapid return to getting behind the wheel is due to improvements in surgery, pain management and rehabilitation, the researchers said. Studies conducted more than a decade ago recommended that total hip replacement patients wait six to eight weeks before driving again, the researchers said. The new study included 38 people who underwent total hip replacement between 2013 and 2014. Their brake reaction time was tested before and after their procedure. The results showed that 87 percent of the patients regained their presurgery brake reaction times within two weeks after surgery, and the other 13 percent reached that point within four weeks after surgery. There were no differences in terms of age, gender or the use ... Read more

Related support groups: Hip Replacement

More Middle-Aged Americans Are Getting Hips Replaced

Posted 24 Mar 2015 by

TUESDAY, March 24, 2015 – More and more middle-aged Americans are replacing their hips damaged by severe arthritis – a surgery that used to be largely reserved for elderly people, a new study reports. Researchers found that between 2002 and 2011, the rate of hip-replacement surgery nearly doubled among Americans ages 45 to 64. By 2011, those middle-aged patients accounted for over 42 percent of all hip replacements nationally – up from 34 percent in 2002. It's a striking change in a fairly short amount of time, according to lead researcher Dr. Alexander McLawhorn, an orthopedic surgeon at the Hospital for Special Surgery in New York City. "I think we were a bit surprised by the magnitude of the increase," said McLawhorn. However, he noted, the findings are consistent with government figures released just last month. That study found that the number of hip replacements nationwide ... Read more

Related support groups: Osteoarthritis, Hip Replacement

Health Tip: Preparing for Joint Replacement Surgery

Posted 24 Feb 2015 by

-- Having joint replacement surgery can mean a long recovery. But taking a few steps to get healthier before your operation can speed up the process. The American Academy of Orthopaedic Surgeons suggests: Quit smoking, which can slow healing and recovery. Lose any extra weight before surgery, and be sure to eat a well-balanced, nutritious diet. Avoid alcohol for at least 48 hours before surgery. Talk to your doctor if you use any prescribed controlled substances. Talk to your doctor about exercising before surgery. Read more

Related support groups: Hip Replacement

Number of Hip Replacements Has Skyrocketed, U.S. Report Shows

Posted 12 Feb 2015 by

THURSDAY, Feb. 12, 2015 – The number of hip replacements performed in the United States has increased substantially, and the procedure has become more common in younger people, new government statistics show. The numbers reveal the rapid evolution of the procedure, which "remains one of the most dramatic and cost-effective ways to improve the quality of life for patients," said Dr. Mark Pagnano, chairman of the department of orthopedic surgery at the Mayo Clinic in Rochester, Minn. "Recovery is dramatically easier for patients, the durability of hip replacements has improved, and the baby boomer generation is less willing to accept the limitations that accompany arthritis," added Pagnano, who was not involved in the study. For the report, researchers looked at hospital statistics on total hip replacement – replacement of the head of the femur (thigh bone) and its socket – from ... Read more

Related support groups: Hip Replacement

Early, Small Babies May Be More Prone to Adult Hip Trouble

Posted 3 Nov 2014 by

MONDAY, Nov. 3, 2014 – Adults who were born preterm or at a low birth weight may have an increased risk of needing a hip replacement due to osteoarthritis, a new study suggests. The researchers looked at more than 3,600 Australian adults, aged 40 and older. Seventy-five of them had undergone hip replacement and 116 had knee replacement surgery due to osteoarthritis. The researchers found that preterm birth and low birth weight were linked with increased risk of hip replacement. This association was independent of age, sex, body-mass index, physical activity levels, high blood pressure, diabetes, smoking or level of education. Although the study found an association between hip replacement due to osteoarthritis and being born prematurely or at a low birth weight, the study wasn't designed to prove that those factors caused the need for a hip replacement. The researchers found no ... Read more

Related support groups: Osteoarthritis, Hip Replacement, Prematurity/Underweight in Infancy

Medical Implant Devices Skate Through Review Process, Studies Claim

Posted 30 Sep 2014 by

MONDAY, Sept. 29, 2014 – Every day, people receive medical implants – artificial valves, hip replacements, surgical mesh and the like – that may not have been rigorously tested before or after their approval by the U.S. Food and Drug Administration, two new studies contend. The studies – conducted by prominent nonprofit groups and published online Sept. 29 in JAMA Internal Medicine – lay the blame for inadequate medical device testing on lax oversight by the FDA. Manufacturers didn't submit any scientific evidence on the safety or effectiveness of 42 out of a sample of 50 new implants in their applications to the FDA, according to a review conducted by the nonprofit National Center for Health Research. The FDA cleared the implants for use in humans. "If you are a doctor who wants to know what the scientific evidence is that this device is safe and effective, there is no publicly ... Read more

Related support groups: Hip Replacement, Knee Joint Replacement, Prosthetic Heart Valves - Mechanical Valves

Anesthesia Type May Affect Recovery From Hip Fracture Repair

Posted 24 Jun 2014 by

TUESDAY, June 24, 2014 – Hip fracture surgery patients who are given regional anesthesia have a slightly lower risk of death and a slightly shorter hospital stay than those who receive general anesthesia, a new study shows. Regional anesthesia involves delivery of anesthesia directly to the affected part of the body without putting the patient "to sleep." Researchers analyzed data from nearly 57,000 patients over age 50 who had hip fracture surgery in New York State between 2004 and 2011. Of those patients, 28 percent had regional anesthesia and 72 percent had general anesthesia. The death rate after 30 days was 5.3 percent for regional anesthesia patients and 5.4 percent for general anesthesia patients, which is not statistically significant. The average length of hospital stay was six days for regional anesthesia patients and 6.3 days for general anesthesia patients. The findings ... Read more

Related support groups: Hip Replacement, Propofol, Ketamine, Diprivan, Nitrous Oxide, Sevoflurane, Isoflurane, Halothane, Droperidol, Pentothal, Etomidate, Amidate, Thiopental, Ultane, Fospropofol, Inapsine, Methohexital, Desflurane, Propoven, Penthrane

Weight Loss May Boost Success of Joint-Replacement Surgery

Posted 18 Mar 2014 by

TUESDAY, March 18, 2014 – Losing or gaining weight after joint-replacement surgery affects the ultimate success of the operation, according to a new study. Patients who lost weight after knee-replacement surgery had much better results in terms of pain, function and activity levels than those who maintained or gained weight, the researchers found. But in both knee- and hip-replacement patients, weight gain was associated with poorer outcomes, according to the study, which was presented at this month's annual meeting of the American Academy of Orthopaedic Surgeons in New Orleans. "Based on our findings, as physicians, we should convey to our patients the importance of maintaining good health and an appropriate weight, and we should help them in any way we can to achieve this goal," said Dr. Geoffrey Westrich, senior investigator and director of research in adult reconstruction and joint ... Read more

Related support groups: Hip Replacement, Knee Joint Replacement

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